Campbell Station Primary Care Assoc
LBN: Advantage Family Healthcare, Pllc
Campbell Station Primary Care Assoc is an health care organization with primary practice located at 11541 Kingston Pike Ste 101, Knoxville TN 37934-3918. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty.
Advantage Family Healthcare, Pllc can be contacted via phone (865) 675-7522, or through Martin, Robert Michael via phone (865) 675-7522.
Contact Information
Primary practice address
11541 Kingston Pike Ste 101
Knoxville TN 37934-3918
Phone: (865) 675-7522
Fax: (865) 671-3196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN7953 | Tennessee |
Profile Details
| NPI number | 1184629735 |
|---|---|
| LBN Legal business name | Advantage Family Healthcare, Pllc |
| DBA Doing business as | Campbell Station Primary Care Assoc |
| Authorized official | Martin, Robert Michael MS, CFNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2005 |
| Last updated | May 3rd, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184629735 | NPPES |
| Tennessee | MEDICAID | 3908484 | |
| Tennessee | Other | 44D0993636 | |
| Tennessee | Other | 1659403590 | |
| Tennessee | Other | 1922004159 |
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